APA APA 1952 DiagnosticandStatisticalManualofMentalDisorders DSM1968 DSM- 1974 1980 DSM 1987 APA DSM- R. 1987 DSM APA DSM IV AllenFrances H.A.Pincus NancyC.Andreasen R.L.Spitzcr 27 13 5 12 M.R.Liebowitz G.J.Tucker D.Shaffer M.Campbell B.T.Walsh A.J.Rush J.B.W.Williams J.Gunderson J.H.Gold R.E.Hales N.C.Andrcasen C.W.Schmidt D.J.Kupfer M.A.Schuckit 50 100 60 WHO ICD 10 APA HospitalandCommunityPsychiatry. 12 70 6000.2 APA DSM 1993 1994 5. DSM DicisionTree Distressdisability..
ageneralmedicalcondition separation dissciationdisability bereavement Tourett AIzheimer PCP
I I I I I II
xxx yyy
CCMD-II-R ICD 1 2 3 4 312.8 5Tourett 307 23 A70 B C 18 317 IQ50 55 70 318.O IQ35 4O 5O 55 318.1 IQ20 25 35 40 318.2 IQ 20 25 319
A l23 6 2 l23 1 l a b C d 2 a b C d 3 a b C d B 3 1 2 3 C Rett 312.8 A 3 12 1 6 l 2 3 4 5 6 7 8 9 10 11 12 13 13 l4 2 1 15 13 B C 18
Tourett 307 23 A B 3 C D 18 E CCMD-II-R ICD 1 293 0 2AIzheimer 3 290 4X 4 294 0 293 0 A. B. C. D AIzheimer A l 2 a (b C d B A1 A2 C D A1 A2 l 2 B12 HIV 3 E F I 290 4X
A 1 2 (a b c d B A1 A2 C D 294 0 A B C D CCMD-II-R ICD 1 2 3 4 5 303 00 6 291 8 7 292 89 8 292 0 9 305 90 10 292 89 11 292 89 12 292 0 13 292 89 14 292 89 15 292 89 16 292 0 17 292 89 18 292 0 19 PCP 292 89 20 292 89 21 292 0
A B C A B C 303 00 A B C 1 1 2 3 4 5 6 D 291 8 A B A 2 1 100 2 3 4 5 6 7 8 C B D 292 89 A B C 2 l 2
3 4 5 6 7 8 9 D 292 0 A B A 2 l 2 3 4 5 C D 305 90 A 250 2 3 B 5 l 2 3 4 5 6 7 8 9 10 11 12 C B D 292 0 A B A 2 l 2 3 4
5 C B D 292 89 A B C D 2 l 2 3 4 5 6 7 E 292 89 A B C 2 2 1 2 3 4 D 292 89 A B C 2 l 2 3 4 5 6 7 8 9
D 292 89 A B A C 292 89 A B C 2 l 2 3 4 5 6 7 8 9 10 11 12 13 D 292 0 A B 24 4 1 2 3 4 5 6 7 8 C B D 292 89
A B C 1 2 3 D 292 0 A l 2 B A 3 l 2 3 4 5 6 7 8 9 C B D PCP 292 89 A B C 1 2 3 4 5 6 7 8 D 292 89 A B
C 1 l 2 3 4 5 6 D 292 0 A B A 2 l 100 2 3 4 5 6 7 8 C B A 2 1 2 3 4 5 2 1 B C. 6 6 1 A A 2 D. 1(2
E. F. 295.30 A. B. 295.10 A. l 2 3 B. 295.20 2 l 2 3 4 5 295.90 A 295.60 A B. A 2 295.40 A. A D E B. 1 6
2 1 4 2 3 4 295.70 A. A Al B. 2 C. D. :DSM W (periodofillness ) 297.1 A. 1 B. A C. D. E. 290.8 A 1 l 2 3 4
B. 1 1 C 4 297.3 A. B. C 293.XX A. B.. C. D. :.81.82 :. A. : B 1 A 2 C 1 D. CCMD-II-R ICD 1 2 3 4
5 296.2X 6 296.3X 7 I 296.0X 8 296.40 9 I 296.4X 10 I 296.6X 11 I 296.SX 12 I 296.7 13 II 296.89 14 301.I3 15 293.83 16 17 18 19 20 21 22 23 24 25 26 27 300.4 2833 296.6 F34.0 29(3)()3 () 30(30) 30 31(30) 30.1 () 32(30) 30.2 33(30) 30.3 34(30) 30.4 35(30) 30.41 >> 36(30) 30.42 >> 37(30) 30.43 >> 38(30) 30.9 39(31) 31 40(31) 31.1 41(31) 31.2 42(31) 31.3 43(31) 31.4 44(31) 31.5 45(31) 31.6 46(31) 31.7 47(31) 31.9 48(31) 31.91 >>
49(32) 32 50(32) 32.1 () 51(32) 32.2 52(32) 32.3 53(32) 32.4 54(32) 32.41 >> 55(32) 32.42 >> 56(32) 32.43 >> 57(32) 32.9 58(33) 33 59(33) 33.1 60(33) 33.2 61(33) 33.9 62(39) 39 63 5 3x.xx1 64 5 3x.xx2 65 5 3x.xx3 66 5 3x.xx4 A 2 5 1 12 1 2 3 5 4 5 6 7 8 9 D. C. D. E 2
A. 1 B. 3 1 2 3 3 4 5 6 7 C. D. E. I A. I B. C A. 4 B. 3 4 l 2 3 3 4 5 6 7
C. D E. F. II 296.2X A. B C. 296.3X A. 2 2 2 B C. I 296.0X A. 2 B. 296.40 A. B. C. D.A B I 296.4X A B.
C. A B I 296.6X A. B.C. I 296.SX A. B. C. I 296.7 A. B. C.D. I C D E. A B II 296.89 A. B. C. D.A B E. 301.I3 A 2 I B. 2 I A 2 C. 2 2 I I II D.A E. F. 293.83 A.
1 2 B. C. E. A. A B. 1 A 2 C. I D. E. 5 I II.X1.X2.X3.X4.X5 2.X6 2.XO 5 I.XI
.XZ.X3.X4.X5 2.X6 2.XO 5 I I II 2 II 2 l 2 3 4 5 I II A. 1 2 B. 3 1 2 3 2 4 5 6
I II 2 2 A. B. 2 l 2 3 4 C. I 4 I II I II A. II B. C. 2 2 A B D. II 12 4 2 300.4 A. 2 1 B. 2 l 2 3
4 5 6 C. 2 A B D. 2 I 2 2 I 2 E. F. G. H. 33 296.6 F34.0 l. 2. 3. 4. 5. 6. 7. 8. 9. 1. 2. 3. 1. 2.
1. 2. 3. 4. 5. 6. 7. 8. 9. 1. 2. (3)() 3F30-F39 () () (30) 30F30 3 4 (1) (2) (3) (4)
(5) (6) (7) (8) (1) 1 (2) 1 (30) 30.1F30.0 () 30 (30) 30.2F30.1 30 (30) 30.3F30.2 30 (30) 30.4F30.8 (1) 2 1 (2) (3) (30) 30.41F30.8 >> 30.4 30.1 (30) 30.42F30.8 >> 30.4 30.2 (30) 30.43F30.8 >> 30.4 30.3 30.9F30.8 F30.9 (31) 31F31
(31) 31.1F31.0 30.1 1 (31) 31.2F31.1 30.2 1 (31) 31.3F31.2 30.3 1 (31) 31.4F31.3 32.1 1 (31) 31.5F31.4 32.2 1 (31) 31.6F31.5 32.3 1 (31) 31.7F31.6 (1) 2 (2) 1 (31) 31.9F31.8 F31.9 (31) 31.91F31.8 >> 12 4 30.1 30 32.1 32 (32) 32F32 4 (1) (2) (3) (4) (5)
(6) (7) (8) (9) (1) 2 (2) 2 (32) 32.1F32.0 () 32 (32) 32.2F32.1 32 (32) 32.3F32.2 32 (32) 32.4F33 (1) 2 1 (2) (3) (32) 32.41F33.0 >> 32.4 32.1 (32) 32.42F33.2 >> 32.4 32.2 (32) 32.43F33.3 >> 32.4 32.3 (32) 32.9F32.8 F32.9 F33.8 F33.9 (33) 33F34 (33) 33.1F34.0
2 2 (1) (2) (33) 33.2F34.1 2 2 2 (1) (2) (3) (33) 33.9F34.8 F34.9 (39) 39F38 F39 5 3x.xx1F38 5 3x.xx2F38 5 3x.xx3F38 2 5 3x.xx4F38 1 2 CCMD-II-R ICD 1 2 3 300.01 4 300.21
5 300.22 6 300.29 7 300.23 8 300.3 9 309.81 10 308.3 11 300.02 12 300.81 13 300.11 14 300.7 15F41 16F41.0 17F41.1 18F41.2 19F41.3 20F41.8 21F41.9 22F40 23F40.0 24F40 1 25F40.2 26F40.8 27F40.9 281. 292.Liebowitz 303. 314. 325. 30021 4 10 l 2 3 4 5 6 7 8 9 10
11 12 13 300.21 300.22 A. B. C. 300.01 A. l 2 I 1 1 a b C B. C. D. separation dissociation 300.21 A. 300.01 A E. C.D. 300.01 C D 300.22 A. B.
C. D. A 300.29 A. B. C D. E. F. 18 6 G. 300.23 A B. C. D. E F. 18 6
G. H. A 300.3 A. 4 1 2 B. C 1 D E. 3 4 1 2 309.81 A. 1 2
B. 1 1 2 3 4 5 C. 2 3 1 2 3 4. 5 6 7 D. 2 1 2 3 4 5 E.B C D 1 F. 3 3 6 308.3 A. 1 2 B. 3 1 2 3
4 5 C. I D. E. F. G. 2 4 4 H. I II 300.02 A. 6 B. C. 6 3 6 1 1 2 3 4 5 6 D. I E. 300.81 A. 30 B. l 4 4
2 2 2 3 1 1 4 1 C.12 1 B 2 D. 300.11 A. B. C D. E. F. 300.7 A. B. C. A D. E. 6 F. F41 F41.0
F40.- 1 a (b C F41.1 a b C F32.F40.F41.0 F42. F48.0 F41.2
F43.2 F34.1 F41.3 F41.1 F40 F49 F42. F44. F45.0 F45.1F45.2 F43.2 F41.8 F41.9 NOS F40 F45.2 F40. F40.2 6 7 F40. F40.0
a b c F41 0 F40 00 F40.01 F40 1 a b C F40.2
a b C - F45.2 F22.0 F45.2F22.0 F40.8 F40.9 NOS NOS 300.7 A B. C. A. B C.
CCMD-II-R ICD 1 300.12 2 300.13 3 300.14 4 300.12 A B. C. 300.13 A. B. C. D. 300.14 A. 2 B. 2 C. D. 300.6 A. B. C. D. CCMD-II-R ICD
1 302.4 2 302.81 3 302.89 4 302.2 5 302.83 6 302.84 7 302.3 8 302.82 9 302.4 A. 6 B. 302.81 A. 6 B. C. 302.89 A. 6 B. 302.2 A. 6 13 B. C. 16 A 5 12 13 302.83 A. 6 B.
302.84 A. 6 B. 302.3 A. 6 B. 302.82 A. 6 B. A. 1. 4 (1) 2 3 4 5 2. B. 1. 2. C. D. CCMD-II-R ICD 1 307.1 2 307.51 3
4 307.46 550 650.0 307.1 307.5 F50.0 750.l 307.5 F50.2 850.2 307.5 F50.5 950.8 307.5 F50.8 1050.9 307.5 F50.9 11F50 12F O.0 13F50.1 14F50.2 15F50 3 16F50. 17F O.5 18F50.8 19F50.9 307.1 A. 85 85 B. C. D. 3 307.51 A. 1 2 2 B. C. 3 2 D. E. A. B.
307.46 A. B. C. D. E. F. 50 50.0 307.1 307.5 F50.0 25 105 Quetelet Quetelet 2 Quetelet 17.5. 50.l 307.5 F50.2 50.2 307.5 F50.5 80
50.8 307.5 F50.8 50.9 307.5 F50.9 F50 NOS R63.0 R63.3 F98.2 F98.3 F O.0 a a 15 Quetelet s 175 C d e
R63.0 F50.8 F50.1 F50.0 F50.2 a C NOS a b C F50 3 F50.2 F50.
F38. F41.2 F48.9 ICD 10 E66. E66.1 ICD 10 F30 F39 F40 49 F50.8 E66. E66.- NOS R63.2 F O.5 F44. F45.2 NOS Rll F50.8 F50.9 CCMD-II-R ICD 1 347 2F51 3F51.0 4F.1 5F.2 6F51.3 7 51. 8F51. 9F51.8 10F.9 347 A. 3
B. l 2 REM C. F51 a b Kleine Levin G47.8 ICD 10 G47. G47.4G47.2G47.3 G25.3 F98.0 R33.8 ICD 10 ICD 10 F51.0 ICD 10 62.0
a b C d F43.0F43.2 F.1. F31.3 F31.4 F31.5 F33.F32. a (b d G47.4
F.2 G47.2 G47.2 a b 1 F51.3 F51.4 3 4
a b C d e F44.l 51. F51.3 a 1 10 C d
F51. REM REM a b F51.8 F.9 321.39 A B C. D. E. CCMD-II-R ICD
141.1 2F43 3F43.0 4F43.1 5F43.2 6F43.8 7F43 9 41.1 A. 3 B. 1 2 C. I I II D. E 6 6 6 F43 ICD 10 X F43.0
F44.2 2 3 F44.0 : a b 24 48 3 F60. F43.1 6 F62 0 6 6 F62 0
F43.2 F33 F43 23 1 F43 21 6 ICD 10 Z 6 ICD 10 H 263 4 271 9 273 3 F43 22 F43 23 F43 24 F43 25 6 F43 21 a b C 2 F93 O 5 F43 20 1 F43 21 2 F43 22 F41 2 F41 3 F43 23
F41 2F41 3 F43 24 F43 25 F43 28 F43.8 F43 9 CCMD-II-R ICD 1 2 301.0 3 301.20 4 301.22 5 301.7 6 301.83 7 301.50 8 301.81 9 301.82 10 301.6 11 301.4 1260 1360.0 301.0 F60.0 1460.l 301.2 F60.1 1560.2 301.7 F60.2 1660.3 301.3 F60.3 1760.5 301.4 F60.5 1860.8 301.8 F60.8 1960.9 301.9 F60.9 20 21 22F60.0 23F60.1 24F60.2 25F60.3 26F60.4 27F60.5 28F60 6 29F60 7 30F60 8
31F60 9 32 33F61 0 34F61 1 35(6) 6 36(60) 60 37(60) 60.1 38(60) 60.2 39(60) 60.3 40(60) 60.4 41(60) 60.5 42(60) 60.6 43(60) 60.7 44(60) 60.8 45(60) 60.9 46(61) 61 47(61) 61.1 48(61) 61.2 49(61) 61.3 50(61) 61.4 51(61) 61.4 52(61) 61.9 53(62) 62 54(62) 62.1 55(62) 62.11 >> 56(62) 62.19 >> 57(62) 62.2 58(62) 62.21 >> 59(62) 62.211 >>>> 60(62) 62.22 >> 61(62) 62.23 >> 62(62) 62.24 >> 63(62) 62.25 >> 64(62) 62.26 >> 65(62) 62.29 66(62) 62.3 67(62) 62.31 >> 68(62) 62.32 >> 69(62) 62.39 >> A. l
2 3 4 B. C. D. E. F. 301.0 A. 4 1 2 3 4 5 6 7 B. 301.20 A. 4 1 2 3 4 5 6 7 B. 301.22 A. 5
. 1 2 3 4 5 6 7 8 9 B 301.7 A. 15 3 1 2 3 4 5 6 7 B. I8 C. I5. D. 301.83 5 l 5 2 3 4 5 5 6
7 8 9 301.50 5 1 2 3 4 5 6 7 8 301.81 5 l 2 3 4 5 6 7 8 9 301.82 4 l 2 3 4 5 6 7 301.6
5 1 2 3 4 5 6 7 8 301.4 4 l 2 3 4 5 6 7 8 60 1. 2. 3. 1. 2. 18 60.0 301.0 F60.0
1. 2. 3. 4. 5. 6. 7. 60.l 301.2 F60.1 1. 2. 3. 4. 5. 6. 7. 60.2 301.7 F60.2 18 1. 2. 3. 4. 5. 6. 7. 8.
9. 10. 11. 12. 18 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 60.3 301.3 F60.3 1. 2. 3. 4. 5. 6. 7. 60.4 301.5 F60.4 1. 2. 3. 4. 5.
6. 7. 8. 60.5 301.4 F60.5 1. 2. 3. 4. 5. 6. 7. 60.8 301.8 F60.8 60.9 301.9 F60.9 0 3 16 17 a b c d e
f F60.0 a b c d e f g F22.- F20.- F60.1 a b C d e f g h i Asperger F84.5 F22.0 F845 F20.- F21 F60.2 a b C d e f
F91.- F60.3 F60.3 F60.30 F60.2 F60.31 F60.4 a (b C d e f F60.5 a b C d e f g h - -F42.-
F60 6 a (b C d e f a (b C d e f F60 8 F60.0-F60.7 haltlose F60 9 NOs NOs F60 F60 F60 8 F61 0 F60. F61 1 F60.- F62- Z73.1 6) 6F60-F69 (60) 60F60
1 (1) (2) (3) (4) () 18 2 (60) 60.1F60.0 (1) (2) 3 (60) 60.2F60.1 (1) (2) 3
) (60) 60.3F60.2 18 18 (1) 3 1 (2) 18 3 2 (11) (12) (60) 60.4F60.30 (1) (2) 3
(60) 60.5F60.4 (1) (2) 3 (60) 60.6F60.5 2 70% (1) (2) 3 (60) 60.7F60.6 (1) (2) 3
(60) 60.8F60.7 (1) (2) 3 (60) 60.9F60.8 F60.9 (61) 61F63 CCMD-3 4 (61) 61.1F63.0 (1) (2) (3) (4) 1 3 (61) 61.2F63.1 (1) (2) (3) (61) 61.3F63.2
(1) (2) (3) (4) 1 3 (61) 61.4F63.3 (1) (2) (3) (61) 61.9F63.8 F63.9 (62) 62F64 F65 F66 62.1F64 (1) 1 1 (2) 6 (1) 1 1 (2) 6 (62) 62.11F64.0 >>
(1) (2) 2 (3) (62) 62.19F64.8 F64.9 >> (62) 62.2F65 (62) 62.21F65.0 >> (1) (2) 6 (62) 62.211F65.1 >>>> (1) (2) (3) 6 (62) 62.22F65.2 >> (1) (2) (3) 6 (62) 62.23F65.3 >>
(1) (2) (3) (62) 62.24F65.8 >> (1) (2) (3) (4) 6 ) 62.25F65.5 >> (1) 1 (2) - (3) 6 (62) 62.26F65.6 >> - (62) 62.29F65.8 F65.9 (62) 62.3F66 CCMD-3 (62) 62.31F66.x1 >> (1) (2) (3) (62) 62.32F66.x2 >>
(1) (2) (3) (62) 62.39F66.8 F66.9 >> CCMD-II-R ICD 1 2 3 A. A1 B. C. A. l 2 3 B. A C. A. 5 5 l234 1 l 2 3 4 5 6 7 8 9 10 11 B.
C. D. A B C 2